Epic Health Plan

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

EPIC HEALTH PLAN

Practice address

10393 Enterprise Dr
Redlands, CA 92374-4525

Phone

(909) 478-5109

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane Whittington

Title

VP of Business Development

Phone

(909) 478-5109

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1306180419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10393 ENTERPRISE DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744525",
            "telephone_number": "909-478-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10393 ENTERPRISE DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744525",
            "telephone_number": "909-478-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "VP OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "909-478-5109"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Daniel Enriquez Quezada, LCSW
• Aimee Marie Enriquez, LCSW
• Danielle Alexis Enriquez
• Lauren A Enriquez, LMFT
• Mary M Entezar
• Epifania V Nicolas (Nicolas Dental Corporation)
• Eric J. Laudenslager (Yucaipa Physical Therapy)
• Danielle Eriksen, BA
• Sotero J Escarza, M.D.
• Monika Cosette Barberena Escobar, OTR/L

• Health Maintenance Organization in Redlands, CA
• Providers in Redlands, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.